Individual
DR. MARIA MOMAN MOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1668 W PEACE STREET, CANTON, MS 39046
(601) 859-5213
(601) 859-8771
Mailing address
1668 W PEACE ST, CANTON, MS 39046-5332
(601) 859-5213
(601) 859-8771
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
11562
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04404037
—
MS
Enumeration date
05/01/2007
Last updated
11/22/2011
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